| NPI | 1871672006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OR C1800) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OR C1800) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2022-09-13 |